NPIMap

Organization Active NPI

Jack F Bickford, DDS, PC

Doing business as Drs. Bickford and Shirley

  • General Practice Dentistry
  • Dallas, GA
National Provider Identifier
1548359102
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
GA8747 Issued in GA
Legal business name
JACK F BICKFORD, DDS, PC
Doing business as
Drs. Bickford and Shirley
Practice address
3036 Atlanta Hwy
Dallas, GA 30132-5723
Phone
(770) 445-6606
Fax
(770) 443-1270
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jack F Bickford, D.D.S.
Title
President
Phone
(770) 445-6606

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X GA8747 GA Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DN012980 GA

Addresses

Primary practice location

3036 Atlanta Hwy
Dallas, GA 30132-5723

Mailing address

3036 Atlanta Hwy
Dallas, GA 30132-5723
Phone (770) 445-6606

Other names 1

  • Drs. Bickford and Shirley Doing business as

National Provider Directory

National Provider Directory

Locations

3036 Atlanta Hwy
Dallas, GA 30132
Phone (770) 445-6606

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1548359102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3036 ATLANTA HWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325723",
            "telephone_number": "770-445-6606",
            "fax_number": "770-443-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3036 ATLANTA HWY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325723",
            "telephone_number": "770-445-6606",
            "fax_number": "770-443-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK F BICKFORD, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "BICKFORD",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-445-6606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "GA8747",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs. Bickford and Shirley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.